| NPI | 1760748693 |
|---|---|
| Doing Business As | NORTHWESTERN OPHTHALMOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARY E PIGEON Credentialing Specialist 802-524-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2018-10-23 |